Restricted accessResearch articleFirst published online 2025
Assessing the Impact of Online Social Reactions to Disclosure of Sexual Victimization via #MeToo on PTSD Symptoms Accounting for In-Person Social Reactions to Disclosure
Responses to sexual victimization disclosure play a significant role in recovery. In a sample of 138 survivors who disclosed their experience both online and in-person, the current study examined the association between online social reactions to the disclosure of sexual victimization and symptoms of posttraumatic stress disorder (PTSD) while accounting for social reactions to in-person disclosure and sexual victimization severity. Multivariate regression analyses indicated receiving in-person responses involving unsupportive acknowledgment, as well as receipt of online social reactions to disclosure via #MeToo that made fun, insulted, or said something to hurt the survivor were associated with increased PTSD symptoms.
AbaviR.BranstonA.MasonR.Du MontJ. (2020). An exploration of sexual assault survivors’ discourse online on help-seeking. Violence and Victims, 35(1), 126–140. https://doi.org/10.1891/0886-6708.VV-D-18-00148
2.
AhrensC. E. (2006). Being silenced: The impact of negative social reactions on the disclosure of rape. American Journal of Community Psychology, 38(3-4), 31–34. https://doi.org/10.1007/s10464-006-9069-9
3.
AndrewsB.BrewinC. R.RoseS. (2003). Gender, social support, and PTSD in victims of violent crime. Journal of Traumatic Stress, 16, 421–427. https://doi.org/10.1023/A:1024478305142
4.
BarlettC. P.GentileD. A. (2012). Attacking others online: The formation of cyberbullying in late adolescence. Psychology of Popular Media Culture, 1(2), 123–135. https://doi.org/10.1037/a0028113
5.
BarlettC. P.GentileD. A.ChewC. (2016). Predicting cyberbullying from anonymity. Psychology of Popular Media Culture, 5(2), 171–180. https://doi.org/10.1037/ppm0000055
6.
BartaK. (2019). Reclaiming publicness in the face of sexual assault: Social media, disclosure, and visibility [Doctoral dissertation].
BhuptaniP. H.MessmanT. L. (2021). Role of blame and rape-related shame in distress among rape victims. Psychological Trauma: Theory, Research, Practice, and Policy. 15(4), 557–566. https://doi.org/10.1037/tra0001132
9.
BogenK.OrchowskiL. M.UllmanS. E. (2021b). Online disclosure of sexual victimization and social reactions: What do we know?Women & Therapy, 44(3-4), 358–373. https://doi.org/10.1080/02703149.2021.1961448
10.
BogenK. W.BleiweissK.OrchowskiL. M. (2019). Sexual violence is# NotOkay: Social reactions to disclosures of sexual victimization on twitter. Psychology of Violence, 9(1), 127–137. https://doi.org/10.1037/vio0000192
11.
BogenK. W.BleiweissK. K.LeachN. R.OrchowskiL. M. (2021a). #Metoo: Disclosure and response to sexual victimization on twitter. Journal of Interpersonal Violence, 36(17-18), 8257–82588. https://doi.org/10.1177/0886260519851211
12.
CampbellR.AhrensC. E.SeflT.WascoS. M.BarnesH. E. (2001). Social reactions to rape victims: Healing and hurtful effects on psychological and physical health outcomes. Violence and Victims, 16(3), 287–302. https://doi.org/10.1891/0886-6708.16.3.287
13.
CassonR. J.FarmerL. D. (2014). Understanding and checking the assumptions of linear regression: A primer for medical researchers. Clinical & Experimental Ophthalmology, 42(6), 590–596. https://doi.org/10.1111/ceo.12358
14.
DiakopoulosN.NaamanM. (2011). Towards quality discourse in online news comments. In Proceedings of the ACM 2011 conference on Computer supported cooperative work (pp. 133–142).
15.
DiMauroJ.RenshawK. D. (2021). Trauma-related disclosure in sexual assault survivors’ intimate relationships: Associations with PTSD, shame, and partners’ responses. Journal of Interpersonal Violence, 36(3-4), NP1986–2004NP. https://doi.org/10.1177/0886260518756117
16.
DworkinE. R. (2020). Risk for mental disorders associated with sexual assault: A meta-analysis. Trauma, Violence & Abuse, 21(5), 1011–1028. https://doi.org/10.1177/1524838018813198
17.
DworkinE. R.BrillC. D.UllmanS. E. (2019). Social reactions to disclosure of interpersonal violence and psychopathology: A systematic review and meta-analysis. Clinical Psychology Review, 72, 101750. https://doi.org/10.1016/j.cpr.2019.101750
18.
DworkinE. R.JaffeA. E.Bedard-GilliganM.FitzpatrickS. (2023). PTSD In the year following sexual assault: A meta-analysis of prospective studies. Trauma, Violence & Abuse, 24(2), 497–514. https://doi.org/10.1177/15248380211032213
19.
FawcettH.ShresthaL. (2016). Blogging about sexual assault: A thematic analysis. Journal of Forensic Practice, 18(1), 39–51. https://doi.org/10.1108/JFP-05-2015-0032
20.
FedinaL.HolmesJ. L.BackesB. L. (2018). Campus sexual assault: A systematic review of prevalence research from 2000 to 2015. Trauma, Violence & Abuse, 19(1), 76–93. https://doi.org/10.1177/1524838016631129
21.
ForkusS. R.RaudalesA. M.KieferR.ContractorA. A.WeissN. H. (2024). Posttraumatic stress symptoms and risky alcohol use: The roles of negative social reactions to sexual assault disclosure and trauma-related shame. Psychological Trauma: Theory, Research, Practice, and Policy, 16(4), 596–602. https://doi.org/10.1037/tra0001396
22.
GorissenM.van den BergC. J. W.BijleveldC. C. J. H.RuiterS.BerenblumT. (2021). Online disclosure of sexual victimization: A systematic review. Trauma, Violence & Abuse, 24(2), 828–843.https://doi.org/10.1177/15248380211043831
23.
GundersenK. K.ZaleskiK. L. (2020). Posting the story of your sexual assault online: A phenomenological study of the aftermath. Feminist Media Studies, 1–13. https://doi.org/10.1080/14680777.2019.1706605
24.
HanB.WongE. C.MaoZ.MeredithL. S.CassellsA.TobinJ. N. (2016). Validation of a brief PTSD screener for underserved patients in federally qualified health centers. General Hospital Psychiatry, 38, 84–88. https://doi.org/10.1016/j.genhosppsych.2015.07.009
25.
HostermanA. R.JohnsonN. R.StoufferR.HerringS. (2018). Twitter, social support messages and the #MeToo movement. The Journal of Social Media in Society, 7(2), 69–91.
26.
JohnsonS. M.MurphyM. J.GidyczC. A. (2017). Reliability and validity of the sexual experiences survey–short forms victimization and perpetration. Violence and Victims, 32(1), 78–92. https://doi.org/10.1891/0886-6708.VV-D-15-00110
KhadrS.ClarkeV.WellingsK.VillaltaL.GoddardA.WelchJ.BewleyS.KramerT.VinerR. (2018). Mental and sexual health outcomes following sexual assault in adolescents: A prospective cohort study. The Lancet Child & Adolescent Health, 2(9), 654–665. https://doi.org/10.1016/S2352-4642(18)30202-5
30.
KossM. P.AbbeyA.CampbellR.CookS.NorrisJ.TestaM.UllmanS.WestC.WhiteJ. (2007). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychology of Women Quarterly, 31(4), 357–370. https://doi.org/10.1111/j.1471-6402.2007.00385.x
31.
KrahéB.TemkinJ.BieneckS.BergerA. (2008). Prospective lawyers’ rape stereotypes and schematic decision making about rape cases. Psychology, Crime & Law, 14(5), 461–479. https://doi.org/10.1080/10683160801932380
32.
LangA. J.SteinM. B. (2005). An abbreviated PTSD checklist for use as a screening instrument in primary care. Behaviour Research and Therapy, 43(5), 585–594. https://doi.org/10.1016/j.brat.2004.04.005
33.
LangA. J.WilkinsK.Roy-ByrneP. P.GolinelliD.ChaviraD.SherbourneC.RoseR. D.BystritskyA.SullivanG.CraskeM. G.SteinM. B. (2012). Abbreviated PTSD checklist (PCL) as a guide to clinical response. General Hospital Psychiatry, 34(4), 332–338. https://doi.org/10.1016/j.genhosppsych.2012.02.003
34.
Lapidot-LeflerN.BarakA. (2012). Effects of anonymity, invisibility, and lack of eye-contact on toxic online disinhibition. Computers in Human Behavior, 28(2), 434–443. https://doi.org/10.1016/j.chb.2011.10.014
35.
LittletonH. L. (2010). The impact of social support and negative disclosure reactions on sexual assault victims: A cross-sectional and longitudinal investigation. Journal of Trauma & Dissociation, 11(2), 210–227. https://doi.org/10.1080/15299730903502946
Lowenstein-BarkaiH. (2021). #Me(n)Too? Online social support toward male and female survivors of sexual victimization. Journal of Interpersonal Violence, 36(23-24), NP13541–NP13563. https://doi.org/10.1177/0886260520905095
38.
ManikondaL.BeigiG.LiuH.KambhampatiS. (2018). Twitter for Sparking a Movement, Reddit for Sharing the Moment: #Metoo through the Lens of Social Media. NY: CoRR, Available at: https://dblp.org/rec/bib/journals/corr/abs-1803-08022
39.
MasciantonioA.SchumannS.BourguignonD. (2021). Sexual and gender-based violence: To tweet or not to tweet?Cyberpsychology: Journal of Psychosocial Research on Cyberspace, 15(3), 4. https://doi.org/10.5817/CP2021-3-4
40.
McKimmieB. M.MasserB. M.BongiornoR. (2014). What counts as rape? The effect of offense prototypes, victim stereotypes, and participant gender on how the complainant and defendant are perceived. Journal of Interpersonal Violence, 29(12), 2273–2303. https://doi.org/10.1177/0886260513518843
41.
MendesK.KellerJ.RingroseJ. (2019). Digitized narratives of sexual violence: Making sexual violence felt and known through digital disclosures. New media & Society, 21(6), 1290–1310. https://doi.org/10.1177/1461444818820069
42.
MoorsR.WebberR. (2013). The dance of disclosure: Online self-disclosure of sexual assault. Qualitative Social Work: Research and Practice, 12(6), 799–815. https://doi.org/10.1177/1473325012464383
43.
O’NeillT. (2018). ‘Today I speak’: Exploring how victim-survivors use reddit. International Journal for Crime, Justice and Social Democracy, 7(1), 44–59. https://doi.org/10.5204/ijcjsd.v7i1.402
44.
OrchowskiL. M.GidyczC. A. (2015). Psychological consequences associated with positive and negative responses to disclosure of sexual assault among college women: A prospective study. Violence Against Women, 21(7), 803–823. https://doi.org/10.1177/1077801215584068
45.
OrchowskiL. M.UntiedA. S.GidyczC. A. (2013). Social reactions to disclosure of sexual victimization and adjustment among survivors of sexual assault. Journal of Interpersonal Violence, 28(10), 2005–2023. https://doi.org/10.1177/0886260512471085
46.
PettyJohnM. E.AndersonG.McCauleyH. L. (2022). Exploring survivor experiences on social media in the# MeToo era: Clinical recommendations for addressing impacts on mental health and relationships. Journal of Interpersonal Violence, 37(21-22), NP20677–NP20700. https://doi.org/10.1177/08862605211055079
47.
SalimS. R.EshelmanL. R.MessmanT. L. (2022). Binegativity exacerbates the effects of sexual victimization disclosure on posttraumatic stress and drinking among bisexual women. Journal of Interpersonal Violence, 37(21-22), NP19939–NP19960. https://doi.org/10.1177/08862605211047961
SchneiderN. J. (2020). Sharing #MeToo on twitter: Incidents, coping responses, and social reactions. Equality, Diversity, and Inclusion: An International Journal, 39(1), 87–100. https://doi.org/10.1108/EDI-09-2018-0161
50.
SigurvinsdottirR.UllmanS. E. (2016). Sexual assault in bisexual and heterosexual women survivors. Journal of Bisexuality, 16(2), 163–180. https://doi.org/10.1080/15299716.2015.1136254
51.
SmithS. G.ZhangX.BasileK. C.MerrickM. T.WangJ.KresnowM.ChenJ. (2018). The National Intimate Partner and Sexual Violence Survey (NISVS): 2015 Data Brief – Updated Release.
52.
Stubbs-RichardsonM.RaderN. E.CosbyA. G. (2018). Tweeting rape culture: Examining portrayals of victim blaming in discussions of sexual assault cases on twitter. Feminism & Psychology, 28(1), 90–108. https://doi.org/10.1177/0959353517715874
53.
UllmanS. E. (1996). Correlates and consequences of adult sexual assault disclosure. Journal of Interpersonal Violence, 11(4), 554–571. https://doi.org/10.1177/088626096011004007
54.
UllmanS. E. (2000). Psychometric characteristics of the social reactions questionnaire: A measure of reactions to sexual assault victims. Psychology of Women Quarterly, 24(3), 257–271. https://doi.org/10.1111/j.1471-6402.2000.tb00208.x
55.
UllmanS. E. (2010). Why, how often, and to whom do women disclose, and what factors influence whether disclosure is healing?
56.
UllmanS. E. (2023). Correlates of social reactions to victims’ disclosures of sexual assault and intimate partner violence: A systematic review. Trauma, Violence, & Abuse, 24(1), 29–43.
57.
UllmanS. E.FilipasH. H.TownsendS. M.StarzynskiL. (2007a). Psychosocial correlates of PTSD symptom severity in sexual assault survivors. Journal of Traumatic Stress, 20, 821–831. https://doi.org/10.1002/jts.20290
58.
UllmanS. E.Peter-HageneL. (2014). Social reactions to sexual assault disclosure, coping, perceived control and PTSD symptoms in sexual assault victims. Journal of Community Psychology, 42(4), 495–508. https://doi.org/10.1002/jcop.21624
59.
UllmanS. E.Peter-HageneL. C. (2016). Longitudinal relationships of social reactions, PTSD, and revictimization in sexual assault survivors. Journal of Interpersonal Violence, 31(6), 1074–1094. https://doi.org/10.1177/0886260514564069
60.
UllmanS. E.RelyeaM. (2016). Social support, coping, and posttraumatic stress symptoms in female sexual assault survivors: A longitudinal analysis. Journal of Traumatic Stress, 29(6), 500–506. https://doi.org/10.1002/jts.22143
61.
UllmanS. E.RelyeaM.SigurvinsdottirR.BennettS. (2017). A short measure of social reactions to sexual assault: The social reactions questionnaire-shortened. Violence and Victims, 32(6), 1096–1115. https://doi.org/10.1891/0886-6708.VV-D-16-00066
62.
UllmanS. E.TownsendS. M.FilipasH. H.StarzynskiL. L. (2007b). Structural models of the relations of assault severity, social support, avoidance coping, self-blame, and PTSD among sexual assault survivors. Psychology of Women Quarterly, 31(1), 23–37. https://doi.org/10.1111/j.1471-6402.2007.00328.x
63.
VittinghoffE.GliddenD. V.ShiboskiS. C.McCullochC. E. (2006). Regression methods in biostatistics: linear, logistic, survival, and repeated measures models.
YeoT. E. D.ChuT. H. (2024). Adaptive self-reflection as a social Media self-effect: Insights from computational text analyses of self-disclosures of unreported sexual victimization in a hashtag campaign. Social Science Computer Review, 43(2), 341-355. https://doi.org/10.1177/08944393241252640.
68.
ZoellnerL. A.FoaE. B.BrigidiB. D. (1999). Interpersonal friction and PTSD in female victims of sexual and nonsexual assault. Journal of Traumatic Stress, 12, 689–700. https://doi.org/10.1023/A:1024777303848
